Can back pain caused by symptom-giving sacroiliac joint relaxation ...
Can back pain caused by symptom-giving sacroiliac joint relaxation ...
Can back pain caused by symptom-giving sacroiliac joint relaxation ...
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The thoracolumbar fascia is a very tight<br />
structure that inserts into the spinous<br />
processes of the lumbar spine, into the sacrum<br />
and into the iliac crest and continues further<br />
down as the fasciae of the buttocks and the<br />
lower limbs and laterally as the fasciae of the<br />
oblique abdominal muscles.<br />
The posterolateral aspect of the thoracolumbar<br />
fascia is reinforced <strong>by</strong> the fascia of the<br />
latissimus dorsi muscle, which constitutes a<br />
link between the pelvis and the upper limbs,<br />
ending at the cranial aspect of the lateral<br />
bicipital groove. Furthermore it extends down<br />
to the inferior angle of the scapula.<br />
Fig. 1C: Thoracolumbar fascia [35]<br />
The abdominal fascia<br />
In its ventral aspect, the abdominal fascia has<br />
fibres that are crossed over. These fibres are<br />
the continuation of the dorsal fascia, lining the<br />
abdominal wall. Together with the dorsal fascia<br />
they provide for a stable and dynamic pelvic<br />
floor. [35, 58]<br />
Fig. 1D: Abdominal fascia [35]<br />
The peritoneum [18, 35]<br />
The internal female genital organs are located subperitoneally in the pelvis, behind<br />
the bladder, and in front of the rectum. The uterus with the broad ligament of the<br />
uterus is located in the middle of this space. The uterus itself is partly covered <strong>by</strong> the<br />
peritoneum, which is firmly adhered to it. Only its lateral parts are linked to the hip<br />
bones exclusively <strong>by</strong> connective tissue. Recesses formed <strong>by</strong> the peritoneum ventrally<br />
and dorsally to the uterus enable it to glide in the subperitoneal space:<br />
o the vesicouterine excavation<br />
o the rectouterine excavation (pouch of Douglas)<br />
Master’s Thesis Wolfgang Aspalter 15